Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $61.66 / $97.72	Professional		$38.02	$61.66	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $83.18 / $181.97	Professional		$56.23	$83.18	$181.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $75.86 / $144.54	Facility		$38.90	$75.86	$144.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $114.82 / $245.47	Professional		$46.77	$114.82	$245.47
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $165.96 / $323.59	Professional		$66.07	$165.96	$323.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $75.86 / $151.36	Facility		$39.81	$75.86	$151.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $104.71 / $204.17	Professional		$56.23	$104.71	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $204.17 / $416.87	Professional		$102.33	$204.17	$416.87